Dr. Lai Zhaokang reply Neurosurgery Question - Page 16

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Understanding Leg and Foot Pain: A Guide for Diabetic Patients

Regarding pain from the thigh to the calf and foot? Hello, Doctor. I apologize for bothering you, but I would like to consult you about a situation I experienced. I have a history of type 2 diabetes. The night before last, after I finished my walking exercise and returned home, I...


Dr. Lai Zhaokang reply Neurosurgery
Hello: It may be sciatica; I recommend seeing a neurosurgeon for examination. Best wishes. // Director Lai Chao-Kang, Spine Neurosurgery.

[Read More] Understanding Leg and Foot Pain: A Guide for Diabetic Patients


Recovery Timeline for Skull Fractures in Children: What to Expect

Recovery from a skull fracture? Hello, I would like to consult a physician. An eight-year-old child experienced a severe head injury while playing, resulting in a skull fracture and underwent surgery for hemostasis (epidural hematoma). It has been three months post-surgery, and c...


Dr. Lai Zhaokang reply Neurosurgery
Hello: Generally, it takes about three months for a fracture to heal, and the brain should also be more stable by then. For exercise, it is recommended to start with gentle activities. If you want to engage in high-impact exercises like jumping rope or running, which can cause si...

[Read More] Recovery Timeline for Skull Fractures in Children: What to Expect


Delayed Symptoms After Car Accident: Understanding Neurological Issues

Symptoms appearing two months after a car accident? Hello Dr. Lai: I was struck in the lower back and pelvis by a moving car while walking on December 14th of last year. At that time, I only felt soreness and immediately had an X-ray taken, which showed no abnormalities. However,...


Dr. Lai Zhaokang reply Neurosurgery
Hello: Your symptoms suggest that there may be damage to your lumbar spine. It is recommended that you consult a neurosurgeon for further examination and treatment. You are 28 years old. If there are no factors such as heavy lifting, poor posture, or congenital issues, it is less...

[Read More] Delayed Symptoms After Car Accident: Understanding Neurological Issues


Post-Surgery Memory Confusion: Understanding Behavioral Changes After Hydrocephalus Surgery

After the surgery for hydrocephalus, there is confusion and a constant desire to go home? Hello Dr. Lai, My father suffered a head injury due to a work accident in late October last year, resulting in a skull fracture, intracranial hemorrhage, subarachnoid hemorrhage, and fronta...


Dr. Lai Zhaokang reply Neurosurgery
Hello: I would like to answer your question directly, but your records indicate that the surgeries were performed at other hospitals, so I cannot provide you with a definitive answer. Wishing you all the best.

[Read More] Post-Surgery Memory Confusion: Understanding Behavioral Changes After Hydrocephalus Surgery


Post-Surgery Pain After Lumbar Spondylolisthesis: Causes and Solutions

Postoperative pain after lumbar spondylolisthesis surgery? Hello Dr. Lai, I have been experiencing numbness in both legs after standing for a long time or walking for about 5 minutes (without pain), followed by weakness and loss of control over my movements. After an MRI diagnosi...


Dr. Lai Zhaokang reply Neurosurgery
Hello: Since this is not my surgical patient and there are no images available, I cannot provide a definitive response. However, since you have concerns and are unable to improve with the original physician, I recommend that you personally seek a consultation with another expert ...

[Read More] Post-Surgery Pain After Lumbar Spondylolisthesis: Causes and Solutions


Understanding L5-S1 Disc Herniation: Why Symptoms Can Improve Over Time

Lumbar disc herniation at the L5-S1 level? I have been doing strength training for nearly a year. At the beginning of October, after playing basketball one night, I felt fine, but the next day I couldn't even sit; I could only lie down without symptoms. Initially, I thought ...


Dr. Lai Zhaokang reply Neurosurgery
Hello: Both you and the physician agree. The physician suggested surgery because there is confirmed nerve compression. You feel that your symptoms have improved and you do not have symptoms of leg numbness or muscle atrophy, so you do not want to undergo surgery. You are likely t...

[Read More] Understanding L5-S1 Disc Herniation: Why Symptoms Can Improve Over Time


Is It Normal to Have Bruising After Sciatica Acupuncture Treatment?

Sciatica has reflexes? Sciatica: After receiving acupuncture treatment for the left leg and lower back, I noticed bruising on the left breast a few days later. Is this normal?


Dr. Lai Zhaokang reply Neurosurgery
Hello: There is a bruise on the left breast. Theoretically, it is unrelated to acupuncture treatment on the left foot and lower back, and it is also not related to sciatica. It is recommended to consult a breast surgeon. Best wishes to you. // Neurosurgeon Dr. Lai Chao-Kang

[Read More] Is It Normal to Have Bruising After Sciatica Acupuncture Treatment?


Understanding Shoulder and Neck Pain Radiating to Arm Discomfort

Shoulder and neck pain radiating to the arm? I have been experiencing shoulder and neck pain for several years. A few years ago, an X-ray showed that my cervical vertebrae at the C5 level are curved, along with degenerative arthritis. I was prescribed medication and advised to ta...


Dr. Lai Zhaokang reply Neurosurgery
Hello, you have cervical nerve compression, which is causing nerve pain. It is recommended to consult a neurosurgeon. Best wishes to you. // Dr. Lai Chao-Kang, Chief of Spine Neurosurgery, Changhua Hospital.

[Read More] Understanding Shoulder and Neck Pain Radiating to Arm Discomfort


Understanding Skull Fractures: Pain, Healing, and Recovery Time

I would like to inquire about skull fractures? Hello, Doctor. I have a few questions I would like to ask you: Q1: In the case of a closed depressed skull fracture (located at the central top of the head), is it common for the affected area to always be accompanied by significan...


Dr. Lai Zhaokang reply Neurosurgery
Hello: A1. In the case of traumatic closed depressed skull fractures, there may not be obvious symptoms. A2. If the depressed fracture is less than 1 cm and there are no significant symptoms, conservative treatment and observation for three months may be sufficient. A3. If the de...

[Read More] Understanding Skull Fractures: Pain, Healing, and Recovery Time


Choosing the Best Surgery for Hydrocephalus: Spinal vs. Brain Drainage

Which surgical method is more effective for hydrocephalus? Hello doctor, my mother has been diagnosed with hydrocephalus at the age of 69. After evaluations from two doctors, one suggested that spinal drainage carries minimal risk, while the other recommended brain drainage. When...


Dr. Lai Zhaokang reply Neurosurgery
Hello: 1. Ventriculoperitoneal (VP) shunt is the standard procedure, and the vast majority of hydrocephalus cases worldwide undergo this surgery. However, patients may have concerns due to the direct puncture of the brain to implant the catheter. 2. Lumbar-peritoneal (LP) shun...

[Read More] Choosing the Best Surgery for Hydrocephalus: Spinal vs. Brain Drainage


Understanding Memory Loss After a Motorcycle Accident: Is It Concussion?

Amnesia due to a car accident? On December 2, 2017, I had a motorcycle accident and I can't clearly remember what happened at that time. The possible cause of the accident might be slipping due to the rain, which led to a fall. I realized I had an accident because there was ...


Dr. Lai Zhaokang reply Neurosurgery
Hello: In cases of head trauma, the most important factors to assess in the first three days are whether there is any loss of consciousness, limb weakness, fatigue, seizures, or epilepsy, as these may indicate the risk of intracranial hemorrhage. However, if none of these symptom...

[Read More] Understanding Memory Loss After a Motorcycle Accident: Is It Concussion?


Post-Surgery Recovery: Riding Motorcycles and Rehabilitation Tips

Epidural nerve adhesion release surgery Hello, doctor. Due to compression at the L4-L5-S1 vertebrae, I have been experiencing pain radiating to my calves and have undergone rehabilitation for 2-3 years. Recently, I had a nerve adhesion surgery that has alleviated the pain. I woul...


Dr. Lai Zhaokang reply Neurosurgery
Hello: When riding a bike, do not exceed half an hour to one hour, and pay attention to riding safety. In theory, you can do rehabilitation with heat therapy and stretching exercises. However, it is recommended that you consult the physician who performed the surgery. Best wishes...

[Read More] Post-Surgery Recovery: Riding Motorcycles and Rehabilitation Tips


Understanding Left Lower Back Numbness: Causes and When to Seek Help

Numbness in the lower left back? Hello Dr. Lai: I have very little physical activity. Last week, after walking for 2 hours, I felt quite tired, and afterward, while sitting down, I experienced a tingling sensation in my lower left back that lasted for about 30 seconds before disa...


Dr. Lai Zhaokang reply Neurosurgery
Hello, it is suspected to be a lumbar spine issue. It is recommended to consult a neurosurgeon, rehabilitation specialist, or orthopedic doctor. Best wishes. // Neurosurgeon Dr. Lai Chao-Kang.

[Read More] Understanding Left Lower Back Numbness: Causes and When to Seek Help


Understanding Severe Hand and Foot Sweating: Causes and Treatment Options

Severe palmar-plantar hyperhidrosis? Since entering high school, I often experience excessive sweating in my hands and feet, whether I'm using my phone, engaging in social activities, or riding a bike—the grips are always wet, which is very bothersome. My hands are always da...


Dr. Lai Zhaokang reply Neurosurgery
Hello, currently the only definitive treatment is thoracoscopic surgery. However, there is a risk of compensatory sweating as a side effect. Unless you are truly suffering and can accept the potential long-term consequences, I suggest you think carefully. It is also advisable to ...

[Read More] Understanding Severe Hand and Foot Sweating: Causes and Treatment Options


Persistent Leg Pain and Burning Sensation After Spinal Surgery: Next Steps

Numbness and tingling in the left foot accompanied by a burning sensation on the dorsum of the foot? Dear Dr. Lai, I have an 82-year-old elder at home who has been experiencing numbness in the left leg (from behind the left knee to the sole of the foot) for about ten years. Addi...


Dr. Lai Zhaokang reply Neurosurgery
Hello: Based on what you mentioned: 1. After the surgery, the symptoms of soreness and burning sensation have not improved at all. Are there any other possible causes? 2. We live in New Taipei City; do you have any recommended hospitals, doctors, specialties, or treatment methods...

[Read More] Persistent Leg Pain and Burning Sensation After Spinal Surgery: Next Steps


Understanding Back Pain: Insights on Muscle Strain and Treatment Options

Back pain Hello Doctor: Recently, I have been experiencing tightness in my neck and shoulders while sleeping, which has affected my sleep quality. Last week, I suddenly felt a significant pain in the area near my right scapula close to the spine. The pain intensifies whenever I l...


Dr. Lai Zhaokang reply Neurosurgery
Hello: It may be a cervical spine issue causing nerve compression. Please seek medical attention. Best wishes from Dr. Lai Chao-Kang, Neurosurgeon.

[Read More] Understanding Back Pain: Insights on Muscle Strain and Treatment Options


Should You See a Doctor for Persistent Dizziness After a Head Injury?

If you hit your head and are experiencing persistent dizziness afterward, it is advisable to go to the hospital for an evaluation? About half a month ago, I slipped and fell, causing my legs to slide outward like I was on ice skates, and I hit my head directly on the ground. At t...


Dr. Lai Zhaokang reply Neurosurgery
Hello: It has been half a month. It is recommended to consult a neurosurgeon. Best wishes to you. // Neurosurgery Dr. Lai Chao-Kang.

[Read More] Should You See a Doctor for Persistent Dizziness After a Head Injury?


Can Sympathetic Nerves Be Reconnected After Surgery?

Can the sympathetic nerves in the chest be reconnected? I underwent T4 sympathetic nerve resection for hyperhidrosis in June of this year, which has resulted in severe compensatory sweating and weakness in my hands and feet. After resting for three months, I returned to work, but...


Dr. Lai Zhaokang reply Neurosurgery
Hello: In Taiwan, hand sweat surgery has been regulated for many years, requiring careful preoperative evaluation and approval from health insurance units before proceeding. This is due to the fact that many patients experience similar issues, such as compensatory sweating. If yo...

[Read More] Can Sympathetic Nerves Be Reconnected After Surgery?


Managing Compensatory Sweating After Thoracic Sympathectomy Surgery

I have a severe compensatory sweating issue? Doctor: I underwent T4 sympathetic nerve transection surgery in June of this year, and I am experiencing severe compensatory sweating postoperatively. Are there any medications or methods available to improve this compensatory sweating...


Dr. Lai Zhaokang reply Neurosurgery
Hello: The surgery for palmar hyperhidrosis has been regulated in Taiwan for many years, requiring careful preoperative assessment and approval from health insurance authorities before it can be performed. This is due to the fact that many patients experience similar issues, such...

[Read More] Managing Compensatory Sweating After Thoracic Sympathectomy Surgery


Understanding a Painless Spine Bump: Causes and Concerns

There is a painless bump on the back of the spine that is not causing any discomfort? There is a protrusion on my spine that is not painful and I am unaware of it because I was walking on the street when a colleague pointed it out. I would like to ask a doctor why there is this b...


Dr. Lai Zhaokang reply Neurosurgery
Hello, a written description is not as effective as seeing a doctor in person. It is recommended to consult a physician, specifically a neurosurgeon or an orthopedic surgeon. Best wishes to you. // Neurosurgeon Dr. Lai Chao-Kang.

[Read More] Understanding a Painless Spine Bump: Causes and Concerns


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